Provider Demographics
NPI:1093053472
Name:ZIVA AVRAMOVICH LCSW
Entity Type:Organization
Organization Name:ZIVA AVRAMOVICH LCSW
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ZIVA
Authorized Official - Middle Name:
Authorized Official - Last Name:AVRAMOVICH
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:786-375-0340
Mailing Address - Street 1:13306 SW 41ST ST
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33330-4738
Mailing Address - Country:US
Mailing Address - Phone:786-375-0340
Mailing Address - Fax:954-530-9239
Practice Address - Street 1:7390 NW 5TH ST
Practice Address - Street 2:SUITE 5
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33317-1610
Practice Address - Country:US
Practice Address - Phone:954-583-8831
Practice Address - Fax:954-583-9575
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-20
Last Update Date:2013-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW9294251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health